Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLS BRADLEY ALBERTY, LICENSED ORTHOTIST

Active Sole Proprietor

Orthotist · TAHLEQUAH, OK

Registration Details

NPI Number: 1891225686
Provider Type: Individual
Gender: Male
NPI Issued: Jun 14, 2017 (8.8539643396539 yrs)
Last Updated: Jul 21, 2022
License: 62 (OK)
Sole Proprietor: Yes

Practice Information

Address: 1294 EAST DOWNING

SUITE 3

TAHLEQUAH, OK, 74464
Browse OK providers · Browse ZIP 74464
Phone: 9184311945
Fax: 9184311974
Primary Specialty: Orthotist
222Z00000X

Other Orthotist Providers in TAHLEQUAH, OK

Name	Credential	NPI
LARRY KINDLE	CO	1649417395

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.